Intrathecal sufentanil for extracorporeal shock wave lithotripsy provides earlier discharge of the outpatient than intrathecal lidocaine

Anesthesia and Analgesia
W C LauJ A Golembiewski

Abstract

Many anesthetic techniques are currently used for extracorporeal shock wave lithotripsy (ESWL). This randomized, prospective, double-blind study was designed to examine postoperative recovery with two anesthetic techniques for unilateral ESWL; i.e., intrathecal sufentanil versus intrathecal 5% lidocaine. The incidence of adverse effects was also assessed. Twenty-two ASA physical status I-III patients, 18-70 yr of age who were scheduled for unilateral ESWL under spinal anesthesia were studied. Patients were randomized to receive either intrathecal sufentanil 20 microg + saline (n = 11) or intrathecal 5% lidocaine (n = 11) based on their height. Both patients and observers were blinded to the treatment groups. Patients were assessed for intraoperative and postoperative pain via a 10-cm verbal analog pain scale (VAPS) (0 = no pain, 10 = extreme pain). Stone sizes, number of shock waves, and voltages were also compared. The recovery profile-time to ambulate, void, oral intake, and home discharge-was documented. Antiemetic requirements in the postanesthesia care unit (PACU) and incidence of postoperative nausea and vomiting (PONV), pruritus, and sedation were also recorded. This study showed no differences in VAPS between groups at ...Continue Reading

References

Nov 1, 1992·Anesthesia and Analgesia·J E HonetB L Leighton
Aug 1, 1986·Seminars in Urology·R C NewmanB Finlayson
May 1, 1985·Anesthesia and Analgesia·J O Duvall, D P Griffith
Nov 1, 1985·Anaesthesia·M A AbbottD R Webb
Jul 1, 1995·Anesthesiology·M N Baker, M C Sarna
Sep 1, 1994·Critical Care Medicine·R E ArianoK J Aronson
Jun 1, 1994·Anesthesiology·R D'AngeloJ C Eisenach
Aug 1, 1994·Anesthesiology·R L Hays, C M Palmer
Apr 1, 1993·Anesthesia and Analgesia·A Jayaram, H Carp

❮ Previous
Next ❯

Citations

Aug 18, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Beverly WaxlerKochuthresia Nedumgottil
May 26, 1998·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·H Vaghadia
Apr 18, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·C L HendersonG W Mitchell
Sep 1, 2005·International Urology and Nephrology·Iqbal SinghPraveen Kumar
Jun 3, 1999·The Surgical Clinics of North America·N Rawal
Nov 30, 2000·Anesthesiology Clinics of North America·D Gravenstein
Sep 1, 2013·Anesthesia, Essays and Researches·Samy HanouraMohammad Shehab
May 27, 2009·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Narmada P Gupta, Anup Kumar
Aug 10, 2000·Anesthesiology Clinics of North America·P S Hodgson, S S Liu
Dec 21, 2002·Best Practice & Research. Clinical Anaesthesiology·Francis V Salinas, Spencer S Liu
Jun 23, 2009·International Braz J Urol : Official Journal of the Brazilian Society of Urology·V A Mezentsev
Dec 3, 2011·Pain Research and Treatment·Christian BachJunaid Masood

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.